ALEX GARO TANIELIAN DDS NPI 1679981096

NPI Information

  • NPI: 1679981096
  • Provider Name: ALEX GARO TANIELIAN, DDS
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Individual
  • Address: 111 W JACKSON BLVD STE 1410
    CHICAGO, IL
    ZIP 60604
  • Phone: (312) 939-2400

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NPI Details

Alex Garo Tanielian, DDS is a general practice dentist in Chicago, IL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. Alex Garo Tanielian, DDS NPI is 1679981096. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

111 W JACKSON BLVD STE 1410
CHICAGO, IL
ZIP 60604-867
Phone: (312) 939-2400

The enumeration date for this NPI number is 7/29/2014 and was last updated on 7/6/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist61272179WASHINGTONNo
21223G0001XDentistGeneral Practice63714CALIFORNIANo
31223G0001XDentistGeneral Practice019032206ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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